The Cost-Effectiveness of Small Group and Community-Level Interventions

  • David R. Holtgrave
  • Steven D. Pinkerton
Part of the AIDS Prevention and Mental Health book series (APMH)


In February 1997, the National Institutes of Health (NIH) convened a consensus development conference on interventions to prevent HIV infection. At this conference, a panel composed of AIDS activists and esteemed scientists, who work in areas other than HIV prevention, reviewed the evidence on the effectiveness of HIV prevention interventions. The panel identified several types of HIV prevention interventions that have been rigorously assessed and found effective at reducing HIV-related risk behaviors.1


Small Group Intervention Skill Training Intervention Popular Opinion Leader Mpowerment Project Behavioral Risk Reduction 
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  1. 1.
    NIH Consensus Development Conference Consensus Statement. Interventions to Prevent HIV Risk Behaviors. Washington DC Government Printing Office; 1997.Google Scholar
  2. 2.
    Holtgrave DR Effectiveness of behavioral interventions to prevent sexual transmission of human immunodeficiency virus infection. In V. T. DeVita, S. Hellman, S. Rosenberg, I. Curran, M. Essex, and A. S. Fauci, eds. AIDS: Biology, Diagnosis, Treatment and Prevention, 4th ed. Philadelphia: J. B. Lippincott; 1996: pp. 577–582.Google Scholar
  3. 3.
    Kelly JA, Murphy DA, Washington CD, et al. The effect of HIV/AIDS intervention groups for high-risk women in urban clinics. Am J Public Health 1994; 84: 1918–1922.PubMedCrossRefGoogle Scholar
  4. 4.
    Hobfoll SE, Jackson AP, Lavin J, et al. Reducing inner-city women’s AIDS risk activities: A study of single, pregnant women. Health Psychol 1994; 13: 397–403.PubMedCrossRefGoogle Scholar
  5. 5.
    Valdiserri RO, Lyter DW, Leviton LC, et al. AIDS prevention in homosexual and bisexual men: Results of a randomized trial evaluating two risk reduction interventions. AIDS 1989; 3: 21–26.PubMedGoogle Scholar
  6. 6.
    Kelly JA, St. Lawrence JS, Hood HV, et al. Behavioral intervention to reduce AIDS risk activities. J Consulting Clin Psychol 1989; 57: 60–67.CrossRefGoogle Scholar
  7. 7.
    Kelly JA, St. Lawrence JS, Stevenson LY, et al. Community AIDS/HIV risk reduction: The effect of endorsement by popular people in three cities. Am J Public Health 1992; 82: 1483–1489.PubMedCrossRefGoogle Scholar
  8. 8.
    Jemmott JB, Jemmott LS, Fong GT. Reductions in HIV risk-associated sexual behaviors among black male adolescents. Am J Public Health 1992; 82: 372–377.PubMedCrossRefGoogle Scholar
  9. 9.
    Rotheram-Borus MJ, Koopmen C, Haignere C, et al. Reducing HIV sexual risk behaviors among runaway adolescents. JAMA 1991; 266: 1237–1241.PubMedCrossRefGoogle Scholar
  10. 10.
    Kelly JA, Murphy DA, Sikkema KJ, et al. Psychological interventions to prevent HIV infection are urgently needed: New priorities for behavioral research in the second decade of AIDS. Am Psychol 1993; 48: 1023–1034.PubMedCrossRefGoogle Scholar
  11. 11.
    Choi KH, Coates TJ. Prevention of HIV infection. AIDS 1994; 8: 1371–1389.PubMedCrossRefGoogle Scholar
  12. 12.
    Centers for Disease Control and Prevention. Community-level prevention of human immunodeficiency virus among high-risk populations: The AIDS Community Demonstration Projects. MMWR 1996; 45(RR-6): 1–24.Google Scholar
  13. 13.
    Kegeles SM, Hays RB, Coates TJ. The Mpowerment project: A community-level HIV prevention intervention for young gay men. Am J Public Health 1996; 86: 1129–1136.PubMedCrossRefGoogle Scholar
  14. 14.
    Kelly JA, St. Lawrence JS, Diaz YE, Stevenson LY, Hauth AC, Brasfield TL, Kalichman SC, Smith JE, Andrew ME. HIV risk behavior reduction following intervention with key opinion leaders of population: An experimental analysis. Am J Public Health 1991; 81: 168–171.PubMedCrossRefGoogle Scholar
  15. 15.
    Rietmeijer CA, Kane MS, Simons PZ, Corby NH, Wolitski RJ, Higgins DL, Judson FN, Cohn DL. Increasing the use of bleach and condoms among injecting drug users in Denver: Outcomes of a targeted, community-level HIV prevention program. AIDS 1996; 10: 291–298.PubMedCrossRefGoogle Scholar
  16. 16.
    Holtgrave DR, Quails NL, Curran JW, et al. An overview of the effectiveness and efficiency of HIV prevention programs. Public Health Rep 1995; 110: 134–146.PubMedGoogle Scholar
  17. 17.
    Rogers EM. Diffusion of Innovations. New York Free Press; 1983.Google Scholar
  18. 18.
    Holtgrave DR, Pinkerton SD. Updates of cost of illness and quality of life estimates for use in economic evaluations of HIV prevention programs. J Acquired Immune Defic Syndr Hum Retrovirol, in press.Google Scholar
  19. 19.
    Holtgrave DR, Kelly JA. Preventing HIV/AIDS among high-risk urban women: The cost-effectiveness of a behavioral group intervention. Am J Public Health 1996; 86: 1442–1445.PubMedCrossRefGoogle Scholar
  20. 20.
    Holtgrave DR, Kelly JA. The cost-effectiveness of an HIV/AIDS prevention intervention for gay men. AIDS and Behavior, in press.Google Scholar
  21. 21.
    Pinkerton SD, Holtgrave DR, Valdiserri RO. Cost-effectiveness of HIV prevention skills training for men who have sex with men. AIDS 1997; 11: 347–357.PubMedCrossRefGoogle Scholar
  22. 22.
    Phillips K, Haddix A, Holtgrave DR. Chapter 1 in this volume.Google Scholar
  23. 23.
    Sikkema KJ, Kelly J, Heckman T, et al. Effects of community-level behavior change intervention for women in low-income housing developments. Presented at the XI International Conference on AIDS, Vancouver, Canada, July 7–12, 1996, Abstract TuD454.Google Scholar
  24. 24.
    Kelly JA. HIV prevention among gay and bisexual men in small cities. In DiClemente RJ, Peterson JL, eds. Preventing AIDS: Theories and Methods of Behavioral Interventions. New York: Plenum Press; 1994: 297–317.Google Scholar
  25. 25.
    Pinkerton SD, Holtgrave DR, Kelly JA, et al. Cost-effectiveness of a community-level HIV risk reduction intervention. To be presented at the 1997 Annual Meeting of the American Public Health Association (abstract).Google Scholar
  26. 26.
    Pinkerton SD, Abramson P. Chapter 2 in this volume.Google Scholar

Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • David R. Holtgrave
    • 1
  • Steven D. Pinkerton
    • 1
  1. 1.Department of Psychiatry and Behavioral MedicineCenter for AIDS Intervention Research (CAIR), Medical College of WisconsinMilwaukeeUSA

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